NPI 1023672391

Esmeralda Garza Sandoval

Practitioner Prevention Professional Modesto, CA

Practice location

Address: 421 E Morris Ave, Modesto, CA 95354-0437
Phone: (209) 558-7494
Fax: (209) 558-8918

Registered specialties

Prevention Professional Primary

Other Service Providers Taxonomy 405300000X Licence N5840848 (CA)

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Registry record

NPI: 1023672391
Entity type: Individual
Sex (as registered): Female
NPI issued: 23 Apr 2019
Record last updated: 23 Apr 2019

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.